Opportunities for Overseas Doctors in Hospital Authority under Limited Registration Scheme
Limited Registration: What are the Options? 10 April 2021 Today’s Sharing
Introduction to HA
Pathways for non-locally trained doctors to pursue medical career in HA ̶ Full registration ̶ Limited registration (LR)
LR recruitment scheme ̶ Application process ̶ The package ̶ Our website
2 Hospital Authority (HA)
Established in 1990 under the Hospital Authority Ordinance A statutory body tasked to manage all public hospitals & institutions Key provider of public-funded healthcare services for > 7 million population
3 Facilities & Manpower
43 public hospitals 49 Specialist Clinics 73 General and institutions with Out-patient Clinics over 29,400 beds
Doctors Others 8% (7,028) 48% (42,036) Nurses 34% (29,428) Allied Health 10% (8,523) Public hospitals grouped
About 87,015 staff (full-time equivalent) into 7 Clusters 4 Working Opportunities in HA
Hong Kong Children’s Hospital Tin Shui Wai Hospital
Ongoing Hospital Development / Re-development Plan
5 Clinical Specialties in HA
Accident & Clinical Ear, Nose & Anaesthesia Emergency Oncology Throat
Family Intensive Care Medicine Neurosurgery Medicine
Obstetrics & Orthopaedics & Ophthalmology Paediatrics Gynaecology Traumatology
Pathology Psychiatry Radiology Surgery
6 Returning to HK to serve as doctors?
Locally trained new medical graduates from 1 Newly registered non-local medical the University of Hong school graduates who have passed Kong (HKU) and the the Licensing Examination of the Chinese University of Medical Council of Hong Kong Hong Kong (CUHK)
Source of Doctors in HA
Past year graduates (other registered doctors 2 Non-locally trained doctors available in the market for recruited under returning to work in public hospitals from private Limited Registration (LR) Scheme sector)
7 (*Details please refer to The Medical Council of Hong Kong https://www.mchk.org.hk and Cap. 161 Medical Registration Ordinance https://www.elegislation.gov.hk/hk/cap161 ) Licensing Examination
1 Take Licensing Examination of MCHK to obtain Full Registration in HK
Governed by the Medical Registration Ordinance (“MRO”) An applicant must satisfy ALL requirements set out in section 7A of the MRO:- (1) makes an application in that behalf to the Council and pays to the Registrar a prescribed fee; and (2) satisfies the Council i) that at the time of the application he has satisfactorily completed not less than 5 years full time medical training of a type approved by the Council# and is the holder of a medical qualification acceptable to the Council; and ii) that he is of good character.
# the 5 years full time medical training shall include a period of internship as approved by the Council 8 Licensing Examination
Part I - Examination in Professional Knowledge
• Questions in Basic Sciences, Medical Ethics / Community Medicine, Medicine, Surgery, Orthopaedic Surgery, Psychiatry, Paediatrics and Obstetrics & Gynaecology • Contains 2 multiple-choice papers
Part II – Proficiency Test in Medical English
• Command of English for professional purposes • Contains ‘True/False’ questions and writing in passages or letters
Part III – Clinical Examination
• Application of professional knowledge to clinical problems in Medicine, Surgery (including Orthopaedic Surgery), Obstetrics & Gynaecology and Paediatrics • Contains Objective Structured Clinical Examination (OSCE) format and some are long- and short-case examinations
9 Licensing Examination
After passing the Licensing Exam, it is required to undergo a period of assessment for normally 12 months to familiarize with the local medical system and commonly- found diseases
Upon successful completion of the period of
assessment, he/she is eligible to apply for https://leip.mchk.org.hk full registration as a medical practitioner in HK
10 Limited Registration
2 Work under Limited Registration in HK
According to section 14A of MRO, a person may be registered as a medical practitioner with limited registration if he/she satisfies the Medical Council that:
a) he/she has been selected for an employment or for a type of employment determined and promulgated by the Medical Council; b) he/she has obtained an acceptable overseas qualification; c) he/she has had adequate and relevant full-time post-qualification clinical experience; d) he/she is registered with a medical authority outside Hong Kong; and e) he/she is of good character
11 Limited Registration
Licensing Examination is not required for persons registered as a medical practitioner with limited registration
For employment in public institutions as determined and promulgated by the Medical Council:
HKSAR Government Hospital The University of Hong Kong or (Department of Health) Authority The Chinese University of Hong Kong
12 LR Recruitment Scheme in HA
With the passing of the HA has also been arranging Medical Registration renewable employment (Amendment) Bill 2017 in contract up to 3 years March 2018, the term of subject to mutual agreement, registration of LR has been consistent good performance extended to up to 3 years and approval of LR by MCHK
13 LR Recruitment Scope in 2021/22
Service Resident Positions Associate Consultant Positions
Anatomical Cardiothoracic Anaesthesia Pathology Surgery
Ear, Nose, Nuclear Radiology All Throat Medicine
Specialties Obstetrics & Ophthalmology Gynaecology
Plastic Surgery Neurosurgery
14 Requirements Service Resident Associate Consultant A qualification comparable to the Intermediate Full registration with an approved medical (or Pre-Intermediate*) Examination of authority outside Hong Kong constituent Colleges of the Hong Kong Academy of Medicine Possessed relevant clinical experience as post- Certified or registered as a specialist or internship registered medical practitioner and equivalent, in relevant specialty in the enrolled in specialist training programme country of practicing Medicine recognized by constituent Colleges of the Hong (The certification or registration system for the specialist status should be a nationally or officially recognized system) Kong Academy of Medicine Proficiency in English Proficiency in English Proficiency in Cantonese Proficiency in Cantonese (except for Anaesthesia, Pathology and Radiology) (except for Anaesthesia, Pathology and Radiology)
* For Emergency Medicine, Family Medicine, Internal Medicine and Paediatrics, applicants with pre-intermediate level qualifications would
be considered 15 Recognized Pre-intermediate Qualifications (for EM, FM, MED and PAED) Primary Examination / Part I or equivalent of recognized qualifications*
Examples:
Emergency Medicine Family Medicine Internal Medicine Paediatrics • Member of the Royal Part 1 or written examination of: •Member of the Royal •Theory examinations College of Emergency College of Physicians of Member of Royal Medicine in the UK • Member of Royal College (UK) (MRCP(UK)) College of Paediatrics (MRCEM) Part A of General Practitioners (MRCGP) Part I & II and Child Health Primary Examination of (MRCPCH) Australasian College for • Fellow of Royal Australian Emergency Medicine College of General (FACEM) Practitioners (FRACGP)
16 * To be assessed by constituent Colleges under the Hong Kong Academy of Medicine and respective Coordinating Committee in HA Career Prospect and Training Opportunities of Doctors Working under LR in HA
Specialist Training Career Prospect Period of Assessment Collaboration with Mechanism in place for Enhanced arrangement HKAM and Colleges to promotion to Associate of the period of facilitate continuation of Consultant for LR assessment for LR specialist training of LR doctors in HA doctors who have doctors in HA passed the Licensing Examination
17 Facilitation on Specialist Training
HA is closely collaborating with Hong Kong Academy of Medicine (HKAM) and its Colleges to align the practice and provide on- the-job specialist training of the non-locally trained doctors working in HA under LR
Continuation of specialist training in Emergency Possible deployment between units Medicine, Internal Medicine, Family Medicine, within HA to facilitate the specific Obstetrics & Gynaecology, Ophthalmology, rotation training requirements as set Paediatrics, Pathology, Psychiatry out by respective Colleges
18 Facilitation on Specialist Training
Same as other non-LR doctors in HA, LR doctors in HA are entitled with
Study Leave
Exam Leave for College’s exams
Granting of Intermediate / Exit / Post-fellowship Increments
19 Career Progression for LR Doctors
AC posts under LR in selected specialties advertised from time to time Opportunities for promotion to AC for LR doctors in HA who:
1. Registered in Specialist Register in MCHK; and
2. Possessed 5 or more years’ full time post-fellowship experience in the relevant specialty in HA (for non-specialist LR doctors); or
3. Possessed 5 or more years’ full time clinical experience in HA (for specialist LR doctors)
For information on Specialist Registration, please visit MCHK’s website: https://www.mchk.org.hk/english/registration/specialist_registration.html
For information on Certification for Specialist Registration (CSR), please visit HKAM’s website: http://www.hkam.org.hk/HKAMWEB/pages_3_55.html 20 New Exempted “Internship Arrangement”
1-3 days Full Licensing Period of Registration Examination Assessment in HK
MCHK endorsed at its Policy Meeting in May 2019 for reduction of the period of assessment generally for non-locally trained doctors who
Passed the licensing examination Hold a specialist qualification comparable to a Fellowship of the Colleges under HKAM Have completed a period of full-time employment for three years or more under LR in HA/DH/HKU/CUHK
Study leave for attending licensing exam and the 1-3 days “Period of Assessment” Take care of HA employment upon obtaining full registration
21 Application Process
• Apply ONLINE for the job • Submit documentary proof of qualification and registration APPLY
• Attend selection interview (Face-to-Face/Phone/ZOOM) INTERVIEW • Verification of registration • Give consent for obtaining employer’s reference • Obtain good standing document from practising country PROCESSING • Arrange limited registration at the Medical Council of Hong Kong • Apply for working visa • Attend pre-employment medical check
• Commence duty in HA hospital REPORT DUTY
22 The Package
A 15% Covered by Support your contract-end professional application Comprehen Flexible gratuity indemnity, to the MCHK -sive and contract payment Leave legal for practice free Allowances upon assistance and under term up to Support medical satisfactory employees’ limited 3 years coverage completion compensation registration of contract of HA
23 Support your application to the MCHK for practice under limited registration
Offer assistance with the LR application documents and certificate of employment required by MCHK
24 Flexible contract term up to 3 years
Offer a flexible and renewable contract term up to three years subject to mutual agreement, consistent good performance and approval of limited registration by MCHK
25 A monthly salary with annual increment and 15% contract-end gratuity* payment upon satisfactory completion of contract
Basic Monthly Salary + Monthly Allowance: Basic Monthly Salary + Monthly Allowance:
HKD$71,219 – HKD$148,432 – HKD$144,604 HKD$171,014
(~£6,763 – 13,733) (~£14,096 – 16,241)
Service Resident Associate Consultant
(The salary to be offered will be commensurate with relevant experience and qualification of the selected candidates and subject to currency fluctuation. )
* Contract-end gratuity equals to 15% of the total basic monthly salary earned, which will be adjusted by the amount of HA’s mandatory 26 contribution to the Mandatory Provident Fund (MPF) Scheme, if applicable, during the contract period. A monthly salary with annual increment and 15% contract-end gratuity* payment upon satisfactory completion of contract
Salary per Annum in UK and HK £273,792 (Consultant) £217,176 (Associate Consultant) Hong Kong (HA) £169,152 United Kingdom (Resident) (NHS England) £81,156 (Consultant) £110,683 £82,096 (Specialty Registrar) £38,694
UK HK Consumer Price Index (CPI) 108.7 110.5 Consumer Price Index (CPI) - Transport 112.4 106.7 Personal Income Tax Rate 20% - 45% 2% - 17% (Exchange rate @10.530 as quoted from Hong Kong Association of Banks as of 24 March 2021 and it may fluctuate from time to time)
Source: 27 1) British Medical Association (BMA), UK 2) Office for National Statistics, UK Government 3) Census and Statistics Department, HKSAR Government Leave Support
28 Comprehensive and free medical coverage
HA Staff Medical Admission Staff Radi & Dental to Private Clinic Program Benefits Wards
29 Covered by professional indemnity, legal assistance and employees’ compensation of HA
Support on Legal Matters, Medico-Legal Cases and Provision of Disciplinary Coroner’s Cases Protection Insurance
Professional Compensation for Indemnity Injuries On Duty Insurance
30 Allowances
For AC, a one-off “Relocation Monthly Fixed-rate Allowance” of Allowance Housing Honorarium # # # HKD$40,000 package Allowance for doctors (~£3,799)
31 # subject to meeting specific criteria Staff Engagement & Activities
Day Tours Interest Classes Gatherings
Sports Activities Staff Recognition
32 Special Offers for HA Staff
33 Welcome to HA
Gain Work as work/training members of our Get a better Facilitate your experience in a professional salary while plan on range of teams paying a low pursuing a medical committed to income tax in medical career specialties in quality patient Hong Kong in Hong Kong public hospitals care of Hong Kong
34 For graduates who have enrolled in specialist training programme (EM, FM, MED and PAED only)
1) Pass the Primary Examination / Part I or equivalent of recognized qualifications (e.g. MRCEM Part A, written examination of MRCGP, Part I & II of MRCP, theory examinations of MRCPCH)
2) Apply for Service Resident position under LR in HA
3) Continue specialist training in Hong Kong under respective Colleges of the Hong Kong Academy of Medicine while working under LR in HA
4) Continue to work under LR in HA with opportunities for promotion to Associate Consultant, or take the licensing examination of MCHK and become fully registered
35 For doctors who are undergoing / have completed specialist training (all specialties)
1) Obtain recognizable qualifications comparable to intermediate examination of the Hong Kong Academy of Medicine (e.g. FRCA, MRCOG, FRCOphth, FRCR, FRCS in Neuro / Plastic Surgery / Cardiothoracic Surgery, etc.)
2) Apply for Service Resident position under LR in HA
3) Continue specialist training in Hong Kong under respective Colleges of the Hong Kong Academy of Medicine while working under LR in HA, or apply for Certification of Specialist Registration
4) Continue to work under LR in HA with opportunities for promotion to Associate Consultant, or take the licensing examination of MCHK and become fully registered 36 For specialist doctors (selected specialties only)
1) Become a specialist in practicing country with qualifications recognized by the Hong Kong Academy of Medicine
2) Apply for Associate Consultant position under LR in HA
̶ Anaesthesia ̶ Nuclear Medicine ̶ Anatomical Pathology ̶ Obstetrics & Gynaecology ̶ Cardiothoracic Surgery ̶ Ophthalmology ̶ Otorhinolaryngology ̶ Plastic Surgery ̶ Radiology ̶ Neurosurgery
37 For more details, welcome to visit our website
Pathways for non-locally trained doctors to pursue medical career in HA
More on… Different time points for returning to Hong Kong and work as doctor Promotion opportunities
38 For more details, welcome to visit our website
Employment Package Requirements Recruitment Process Online Application Recent Events
Sharing by the Limited Registration Doctors Useful Links (MCHK, HKAM, etc.) Online application
40 Join us !
Year-round http://www.ha.org.hk/goto/ recruitment limited_registration
41 Thank you